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2017 Chronic Care Management Metrics: CCM Activity Surges as Telephonic Outreach Prevails

Availability of chronic care management services increased 14 percent over a two-year period, according to 2017 Healthcare Intelligence Network market metrics.

Sea Girt, NJ, May 09, 2017 --( Reflecting the merit of chronic care management (CCM) in the delivery of high-value healthcare, CCM adoption rose from 55 percent in 2015 to 69 percent in 2017, according to the HIN April 2017 Chronic Care Management survey.

In the sphere of value-based healthcare, chronic care management is touted as a critical component of primary care and population health management that contributes to better health and care for individuals while reducing spending.

The majority of CCM outreach continues to be conducted telephonically, say 88 percent of 2017 respondents.

Reimbursement levels for CCM remained steady at 35 percent from 2015 to 2017; however, HIN's second comprehensive CCM survey determined that 32 percent currently bill Medicare using CMS Chronic Care Management codes introduced in 2015.

Although 40 percent of Medicare CCM participants believe that 2017 program changes by CMS will reduce administrative burden associated with CCM, more than one-fifth still encounter challenges when it comes to engaging providers and staff in the Medicare program.

Three-fourths of 2017's responding CCM programs target either the Medicare population or individuals with chronic comorbid conditions. Management of care transitions is the top CCM component for 86 percent of respondents.

Download more metrics from the complimentary HINtelligence report, "Chronic Care Management in 2017: Telephonic Outreach Prevails Amidst Spike in CCM Activity, Reimbursement:"

News Facts: HIN's white paper, Chronic Care Management in 2017: Telephonic Outreach Prevails Amidst Spike in CCM Activity, Reimbursement, summarizes April 2017 feedback from 110 hospitals and health systems, health plans, physician practices, disease management and coaching organizations and others on their CCM initiatives.

This 2017 chronic care management snapshot also captured the following trends:

- A diagnosis of diabetes remains the leading criterion for CCM admission, said 92 percent;

- Use of healthcare claims as the primary means of identifying or risk-stratifying individuals for CCM continues at the 70-percent levels reported in 2015;

- Patient engagement remains the top challenge of chronic care management, with just under one-third of 2017 respondents reporting this obstacle;

- Two-thirds of respondents conduct CCM interventions via face-to-face visits;

- Seventy percent of respondents target individuals with behavioral health diagnoses for CCM interventions; and

- Ninety-two percent report improvements in healthcare quality as a result of chronic care management.

Download more metrics from the complimentary HINtelligence report, "Chronic Care Management in 2017: Telephonic Outreach Prevails Amidst Spike in CCM Activity, Reimbursement:"

"Although Medicare's Chronic Care Management codes were introduced just two years ago, nearly one-third of our 2017 respondents are billing under those codes, which are a largely untapped revenue source for Medicare providers.Industry thought leaders have referred to Medicare's CCM initiative as an essential stepping stone to success under Medicare's new Quality Payment Program." -Melanie Matthews, HIN Executive VP and COO

Please contact Patricia Donovan to arrange an interview or to obtain additional quotes. For Melanie Matthews's profile, please visit

About the Healthcare Intelligence Network — HIN is the premier advisory service for executives seeking high-quality strategic information on the business of healthcare. For more information, contact the Healthcare Intelligence Network, PO Box 1442, Wall Township, NJ 07719-1442, (888) 446-3530, fax (732) 449-4463, e-mail, or visit
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Patricia Donovan

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